Delayed sleep phase syndrome in adolescents

Michael J. Thorpy, Elisa Korman, Arthur J. Spielman, Paul B. Glovinsky

Research output: Contribution to journalArticle

158 Scopus citations

Abstract

The delayed sleep phase syndrome is characterized by difficulty in falling asleep at a socially acceptable time of night and an inability to be easily aroused in the morning. Most commonly encountered in adolescents, this condition can produce daytime sleepiness and poor school performance, and it can lead to behavioral problems. The clinical features of the syndrome are described in 22 adolescents. Nine subjects participated in a protocol of polysomnographic recordings to simulate habitual "weekday" and "weekend" sleep patterns. There was a significant increase in total sleep time (p < 0.005) and REM sleep (p < 0.001) during the "weekend" sleep period. A multiple sleep latency test was performed between the two nights to assess daytime sleep tendency. Daytime sleepiness was maximal in the morning, with a tendency for greater alertness as the day progressed. The reduced amount of REM sleep during the "weekdays" plus the tendency for sleepiness in the mornings may contribute to the behavioral and educational difficulties seen in these patients. Recognition of this syndrome enables a specific sleep schedule change to be made that effectively treats the problem.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalJournal of Adolescent Health Care
Volume9
Issue number1
DOIs
StatePublished - Jan 1988

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Keywords

  • Delayed sleep phase syndrome Chronobiology Sleep stages Depression

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health

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